Research Article

Gel Immersion Endoscopic Mucosal Resection (EMR) for Superficial Nonampullary Duodenal Epithelial Tumors May Reduce Procedure Time Compared with Underwater EMR (with Video)

Table 1

Characteristics of patients and lesions.

UEMRGIEMR

Patients/lesions14/149/100.661
 Male10 (71%)5 (56%)
 Female4 (29%)4 (44%)
Median age (range, years)62
(41–78)
67
(51–81)
0.162
Location0.643
 Bulb1 (7%)2 (20%)
 Second portion, preampulla5 (36%)3 (30%)
 Second portion, postampulla8 (57%)5 (50%)
Morphology0.303
 Sessile type1 (7%)3 (30%)
 Superficial elevated type10 (71%)6 (60%)
 Superficial depressed type3 (21%)1 (10%)
Median tumor diameter size (range, mm)6
(3–12)
10
(7–18)
0.00772
Histological type0.103
 Adenoma11 (79%)5 (50%)
 Intramucosal carcinoma3 (21%)5 (50%)
Operators’ experience0.161
 Expert14 (100%)8 (80%)
 Nonexpert0 (0%)2 (20%)

1Fisher’s exact test. 2Mann–Whitney test. 3 test. GIEMR: gel immersion endoscopic mucosal resection; UEMR: underwater endoscopic mucosal resection.